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[10] [11] Metronidazole is available orally (by mouth), as a cream or gel, and by slow intravenous infusion (injection into a vein). [10] [4] Common side effects include nausea, a metallic taste, loss of appetite, and headaches. [10] Occasionally seizures or allergies to the medication may occur. [10]
It can be taken by mouth or applied as a cream to the skin or in the vagina. [2] Common side effects when taken by mouth include nausea and itchiness. [2] When applied to the skin, common side effects include redness and a burning sensation. [2] In pregnancy, use on the skin or in the vagina is believed to be safe. [2]
Benefits of topical metronidazole include its effectiveness in reducing symptoms, extensive clinical experience supporting its use, and generally good tolerability with minimal systemic side effects; still, some patients may experience mild local irritation upon initial use, and it may have limited impact on persistent facial redness (erythema).
It may be applied to the skin as a liquid, an ointment or a powder. [2] [3] Side effects include skin irritation and sometimes swelling. [1] If used on large wounds, kidney problems, high blood sodium, and metabolic acidosis may occur. [1] It is not recommended in women who are less than 32 weeks pregnant. [2]
For people who are symptomatic, it is used after treatment with metronidazole or tinidazole. [2] It is taken by mouth. [1] Diloxanide generally has mild side effects. [3] Side effects may include flatulence, vomiting, and itchiness. [1] During pregnancy it is recommended that it be taken after the first trimester. [1]
10–14 PPI (standard dose) bid, tetracycline 0.5 g qid, metronidazole 0.25 g qid and bismuth standard dose qid First line or second line therapy Levofloxacin-based triple therapy 10 PPI (standard dose) bid, levofloxacin 0.5 g qd and amoxicillin 1 g bid Second line therapy if there is no fluoroquinolone resistance Culture-guided therapy 10
A medical professional administering nose drops Instillation of eye drops. A topical medication is a medication that is applied to a particular place on or in the body. Most often topical medication means application to body surfaces such as the skin or mucous membranes to treat ailments via a large range of classes including creams, foams, gels, lotions, and ointments. [1]
Oxymetazoline, sold under the brand name Afrin among others, is a topical decongestant and vasoconstrictor medication. It is available over-the-counter as a nasal spray to treat nasal congestion and nosebleeds, as eye drops to treat eye redness due to minor irritation, and (in the United States) as a prescription topical cream to treat persistent facial redness due to rosacea in adults.
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